Zelaya Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ZELAYA OPTOMETRY INC

Practice address

3840 Main St
Culver City, CA 90232-2620

Phone

(310) 839-2090

Fax

(310) 204-5858

NPI assigned

Sep 28, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Katya Suyin Zelaya, ODNPI 1942505425

Title

Optometrist

Phone

(310) 839-2090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Zelaya Optometry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Zelaya Optometry Inc

  • Optometrist
  • Culver City, CA
  • NPI 1780435438
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katya Suyin Zelaya, OD

  • Optometrist
  • Culver City, CA
  • NPI 1942505425
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1306321914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 MAIN ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 MAIN ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322620",
            "telephone_number": "310-839-2090",
            "fax_number": "310-204-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELAYA OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "ZELAYA",
        "authorized_official_first_name": "KATYA",
        "authorized_official_middle_name": "SUYIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "310-839-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer B Zapata
• Kyle Patrick Patrimonio Zarate
• Melissa Flores Zavala, PSY.D
• Shauna Esther Zeilig, MA, OTR/L
• Cheron Zekavat, LMFT
• Zelaya Optometry Inc
• Katya Suyin Zelaya, OD
• Laura Zermeno
• Yang Zheng
• Yin Zhou, PHARM.D

• Optometrist in Culver City, CA
• Providers in Culver City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.